FORM 1023-EZ for SHELBY RAE DOTSON MEMORIAL FOUNDATION

Field Data
EIN 82-1577071
Case Number EO-2017152-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHELBY RAE DOTSON MEMORIAL FOUNDATION
Organization’s Mailing Address PO BOX 8
City HUNTSVILLE
State AR
ZIP 72740
Accounting period End 12
Primary contact name JAMIE DOTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ABRAHAM DOTSON
DIRECTOR
SHELBY DOTSON DRIVE
HUNTSVILLE AR 72740

Officer/Director/Trustee Two

JAMIE DOTSON
DIRECTOR
SHELBY DOTSON DRIVE
HUNTSVILLE AR 72740

Officer/Director/Trustee Three

JAMES EATON
DIRECTOR
103 W MAIN
HUNTSVILLE AR 72740

Officer/Director/Trustee Four

SPARKS BRITTANY
DIRECTOR
140 MADISON 7075
HINDSVILLE AR 72738

Officer/Director/Trustee Five

EATON DAVINA
DIRECTOR
304 MADISON 6513
Huntsvillville AR 72740

Organization’s website
Organization’s email ADOTSON30@WINDSTREAM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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